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June 1, 1993HeartOpen Access

Early changes in left ventricular subendocardial function after successful coronary angioplasty.

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Key result

Successful single vessel coronary angioplasty significantly shortened isovolumic relaxation time from 75 ms to 64 ms (p<0.001) and improved left ventricular long axis function.

Why the study?

Does single vessel coronary angioplasty improve resting left ventricular long axis function in patients with significant left coronary disease?

Population

23 patients with significant left coronary disease being considered for coronary angioplasty

Comparison

Single vessel coronary angioplasty vs Baseline (before angioplasty)

Design

Cohort

Follow-up

early after angioplasty

Authors

MHMichael Y. HeneinCardiac ImagingKPK PriestleyKing's College LondonTDT. I. DavarashviliThe Royal Free Hospital

Discussion

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Implication

Supports reversible LV long-axis dysfunction from single-vessel stenosis; hypothesis-generating for functional recovery, pending randomized confirmation.

Study Design

Type

Observational (n=23)

Multicenter

No

Structured PICO

Does single vessel coronary angioplasty improve resting left ventricular long axis function in patients with significant left coronary disease?

P
Population
23 patients with significant left coronary disease being considered for coronary angioplasty
I
Intervention
Single vessel coronary angioplasty
C
Comparator
Baseline (before angioplasty)
O
Outcome
Resting left ventricular long axis function (including isovolumic relaxation time, long axis motion, and early diastolic lengthening/thinning rates)surrogate

Main Result

Absolute Event Rate: 64% vs 75%

p-value: p=<0.001

Successful single vessel coronary angioplasty acutely improves resting left ventricular long axis systolic and diastolic function, suggesting these abnormalities are directly caused by coronary stenosis.

Cite This Study

Henein et al. (1993) conducted an observational in coronary artery disease (n=23). single vessel coronary angioplasty vs. baseline (before angioplasty) was evaluated on isovolumic relaxation time (ms) (p=<0.001). Successful single vessel coronary angioplasty significantly shortened isovolumic relaxation time from 75 ms to 64 ms (p<0.001) and improved left ventricular long axis function.

synapsesocial.com/papers/6a158cac79ff98d0de4ecc38https://doi.org/10.1136/hrt.69.6.501

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional importance of the long axis dynamics of the human left ventricle.1990 · 367 citations
  2. 2Determination of parameters of left ventricular diastolic filling with pulsed Doppler echocardiography: comparison with cineangiography.1985 · 532 citations
  3. 3Measurement of instantaneous left ventricular dimension and filling rate in man, using echocardiography.1973 · 284 citations
  4. 4Left ventricular filling dynamics: influence of left ventricular relaxation and left atrial pressure.1986 · 582 citations
  5. 5Left ventricular function in diabetes mellitus. II: Relation between clinical features and left ventricular function.1981 · 122 citations